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Medical Facilities

Journal Article
Telehealth Adoption by Mental Health and Substance Use Disorder Treatment Facilities in the COVID-19 Pandemic
The study examined temporal and geographic trends in telehealth availability at U.S. behavioral health treatment facilities and risk factors for not offering telehealth.
Nov 13, 2023
Journal Article
Vertical Integration of General Practices with Acute Hospitals in England: Rapid Impact Evaluation
This study drew on previous research into NHS hospitals taking over running general practices, and evaluated whether hospital-run practices affect patient satisfaction and attendance, including for patients with long-term conditions.
Nov 2, 2023
Journal Article
Estimating Psychiatric Bed Shortages in the US
The US is confronting an urgent and worsening shortage of psychiatric beds. RAND researchers identify the challenges in estimating the shortage and recommend a data-driven approach.
Oct 16, 2023
Journal Article
Changes Over Time in POLST Use and Content by Race and Ethnicity Among California Nursing Home Residents
Racial and ethnic differences in POLST intensity of care orders increased between 2011 and 2016 suggesting that efforts to mitigate factors underlying differences were ineffective.
Sep 18, 2023
Journal Article
Exploring Which Patients Use Their Closest Emergency Departments Using Geocoded Data
Each year, roughly 20% of U.S. adults visit an emergency department (ED). Examining ED use, Fewer than half of patients visited the closest ED. Patients who chose a farther ED sought higher-rated hospitals and reported more favorable experiences.
Sep 18, 2023
Journal Article
Changes in Patient Experiences of Hospital Care During the COVID-19 Pandemic
Did patient hospital experiences change during the COVID-19 pandemic and, if so, did the changes differ across hospitals with different patient-staff ratios and prepandemic quality (hospital overall star rating)?
Sep 5, 2023
Journal Article
Relationship of POLST to Hospitalization and ICU Care Among Nursing Home Residents in California
This paper links Physician Orders for Life Sustaining Treatment (POLST) document status with actual intensity of care for nursing home residents in California.
Aug 28, 2023
News Release
Patient Experiences with Hospitals Significantly Worsened During First Two Years of Pandemic
The experiences of patients hospitalized during the COVID-19 pandemic were significantly worse than in the years before the crisis, with hospitals with higher staffing levels holding onto better scores longer.
Aug 25, 2023
Journal Article
Improving the Quality of Written Discharge Instructions: A Multisite Collaborative Project
Participation in this 8-hospital Institute for Healthcare Improvement Virtual Breakthrough Series collaborative was associated with improvement in the quality of written discharge instructions beyond precollaborative trends only for hospitals with high baseline performance.
Aug 16, 2023
Journal Article
Expansion of Telehealth Availability for Mental Health Care After State-Level Policy Changes From 2019 to 2022
This study investigated whether state-level policy changes from 2019 to 2022 were associated with the expansion of telehealth services at mental health treatment facilities throughout the US.
Aug 11, 2023
Report
Psychiatric and Substance Use Disorder Bed Capacity, Need, and Shortage Estimates in Santa Clara County, California
Santa Clara County sought to understand where gaps exist between psychiatric and substance use disorder treatment bed capacity and needs — at different levels of care. The authors use various sources to identify such gaps and hard-to-place populations.
Aug 3, 2023
Journal Article
Using Pulse Oximeters in Care Homes for Residents with COVID-19 and Other Conditions: A Rapid Mixed-Methods Evaluation
Through a rapid mixed-methods evaluation of care homes in England, this article explores whether use of pulse oximeters in care homes during the COVID-19 pandemic was beneficial to care home staff and residents.
Jul 26, 2023
Journal Article
Changes in US Hospital Financial Performance During the COVID-19 Public Health Emergency
COVID-19 led to significant hospital operational changes, impacting financial performance. 80% of 4,223 U.S. hospitals received emergency funds, with 16.3% experiencing financial distress (46.3% excluding relief funds). Hospitals with more Hispanic patients faced higher distress.
Jul 21, 2023
Report
Improving Mental Health Care Systems in the United States: Policy Questions Arising from a Case Study of Sheppard Pratt
The authors interviewed senior staff at Sheppard Pratt, a community-based mental health specialty care system in Maryland and West Virginia, to understand how Sheppard Pratt's experiences can potentially inform national mental health policy.
Jul 12, 2023
Journal Article
Changes in Nursing Home Use Following Medicaid-Supported Expanded Access to Home- and Community-Based Services for Older Adults With Dementia
New York State's Medicaid managed long-term care (MLTC) program expanded access to home- and community-based services. This cohort study evaluated changes in nursing home use among older adults with dementia following MLTC implementation.
Jul 11, 2023
Commentary
Home and Community-Based Services Help Aging Veterans and Provide Cost Savings
Home and community-based services allow veterans to “age in place” while receiving the care and support they need. They also cost less than institutional care facilities. As these VA programs expand, it will be important to make them available to all veterans who would benefit from them.
Jun 26, 2023
Journal Article
What's Behind Losses At Large Nonprofit Health Systems?
The authors aim to understand the financial performance of large nonprofit hospitals systems in the post-COVID-19 era by examining several of these systems' overall profit margin by using their most recent annual financial reports.
Jun 7, 2023
Testimony
Solving the Mental Health Crisis: Tackling Psychiatric Bed Shortages in California
Psychiatric beds are essential infrastructure for meeting the needs of individuals with mental health conditions. But like many parts of the United States, California is confronting a shortage that, without action, will get worse over time. What are some recommendations to address the bed shortage?
May 1, 2023
Journal Article
Association Between Hospital Adoption of an Emergency Department Treatment Pathway for Opioid Use Disorder and Patient Initiation of Buprenorphine After Discharge
Researchers evaluated the association between hospitals attesting to an emergency department buprenorphine treatment Opioid Hospital Quality Improvement Program (O-HQIP) pathway and patients' subsequent initiation of buprenorphine treatment.
Apr 20, 2023
Journal Article
Trends in Geographic Proximity to Substance Use Disorder Treatment
This study aims to assess trends in the number and characteristics of substance use disorder treatment (SUDT) facilities within the county of residence of adults aged 50+ over time.
Apr 18, 2023

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RAND Topic:
Health Care Facilities

Topic Synonyms:
Medical Facilities

Research conducted by

Researcher Spotlight

Agne Ulyte

Senior Analyst

Agnė Ulytė is a senior analyst at the RAND Corporation. Working primarily with RAND Europe, her main focus is health services and health care policy research. Key areas of interest are health, nursing, and social care in long-term care settings; innovative health care delivery modalities such as…
Mahshid Abir

Senior Physician Policy Researcher

Mahshid Abir is a senior physician policy researcher at the RAND Corporation. Also a practicing emergency physician, her research evaluates the acute care continuum including pre-hospital, emergency, inpatient, and ambulatory care, with a focus on policy-related issues. Abir's past work includes…

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